Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $250.47 / $250.47	Professional		$250.47	$250.47	$250.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $318.00	Facility		$300.00	$300.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $405.00	Professional		$318.00	$318.00	$405.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $270.30 / $1,307.33	Professional		$270.30	$270.30	$1,307.33
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $515.41	Professional		$318.00	$318.00	$515.41